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ISSUE REQUEST

DIC: ROUTE ID: DT: A. REQUESTER DATE/TIME:

B. KILL CALLED TO: TIME: VERIFIED BY:

UJC: TIME:

STOCK NUMBER
NSC N11N MMC U/I QUANTITY
C. SUB NUMBER:

DOCUMENT NUMBER
FUNCT ACCT DATE SERIAL NO DMD

D. PART NUMBER.MANUFACTURING CODE/REMARKS:

E. T.O. REF/FIGURE/INDEX:

D E C C
F REQ O M OPERATION U
CONTROL W ADY E R R O ACT/
DEL DEST PROJECT A DEL / G FACILITY /
NUMBER C CODE L R E N SUF
D DATE P T NUMBER U
PRI C D D

F. ADDITIONAL INFORMATION:

G. TIME/DATE OF DELIVERY: H. DELIVERY TIME: I. NOMENCLATURE:

ISSUE REQUEST

DIC: ROUTE ID: DT: A. REQUESTER DATE/TIME:

B. KILL CALLED TO: TIME: VERIFIED BY:

UJC: TIME:

STOCK NUMBER
NSC N11N MMC U/I QUANTITY
C. SUB NUMBER:

DOCUMENT NUMBER
FUNCT ACCT DATE SERIAL NO DMD

D. PART NUMBER.MANUFACTURING CODE/REMARKS:

E. T.O. REF/FIGURE/INDEX:

D E C C
F REQ O M OPERATION U
CONTROL W ADY E R R O ACT/
DEL DEST PROJECT A DEL / G FACILITY /
NUMBER C CODE L R E N SUF
D DATE P T NUMBER U
PRI C D D

F. ADDITIONAL INFORMATION:

G. TIME/DATE OF DELIVERY: H. DELIVERY TIME: I. NOMENCLATURE:

AFSC Form 95, 20180226; Prescribing Directive: AFSCMAN21-102

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